What is the permanent solution for severe dandruff problem?

Q. My dandruff problem is concerning with its spread over face and eyelids. Please help.

Answered by
Dr. Subhash Kashyap
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Mar 23, 2020 and last reviewed on: Aug 10, 2023

Hello doctor,

I am a 31-year-old male, suffering from hair dandruff for the past one year heavily. I have a history of dandruff but I only used anti-dandruff shampoo before, only this last year it got so intense, that now it is not only in my scalp but it started to show on my face. It is showing a little bit above my upper mouth lip but a lot more intensive on my eyelids, and I always have a burning sensation above my eyes when I wake up and sometimes it is itchy and looking red but it is burning intensely these days.



Welcome to icliniq.com.

These are typical symptoms of seborrheic dermatitis. It is a chronic condition due to overactivity and inflammation of the sebaceous gland sometimes aggravated by fungus Malessezia a normal inhabitant of the body. You need to stop all oil application. Keep dry. Use anti-dandruff soap Ketoconazole soap. Take capsule Itraconazole 200 mg twice daily for two weeks after meals, Tablet Levocetirizine 10 mg once daily at night, Tablet Deflazacort 30 mg after breakfast once daily for five days, Tablet Pantoprazole 40 mg once daily 30 minutes before breakfast for five days, use Ketoconazole shampoo to apply it twice weekly over the scalp and affected area for 10 minutes before bathing. I hope this helps.

The Probable causes:

Depend on the body some are more prone.

Investigations to be done:


Differential diagnosis:

The differential diagnosis is sebopsoriasis.

Preventive measures:

Use less oil.

Regarding follow up:

After two weeks.

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